“It’s a Tall Order But I’ll Try”: A Qualitative Study on Chinese Nurses’ Cognition and Experience Responding to Cancer Patients’ Requests to Hasten Death

Abstract Purpose: The purpose of this study is to understand the cognition and experience of oncology nurses in China when responding to a patient’s request to hasten death, to describe the obstacles that prevent their response, and to provide suggestions for dealing with the patient’s request. Methods: Researchers conducted a qualitative study that consisted of open-ended, semi-structured interviews with 18 registered nurses who had more than five years of working experience in the oncology department at a large-scale urban hospital. We analyzed these data for content and themes.Results: How to deal with patients’ requests to hasten death is a problem often encountered and handled by nurses in the Department of Oncology.Nurses have a certain understanding of the patients’ requests to hasten death. This study abstracts four themes: 1) the nurses’ cognition of the “Accelerate the process of death” ; 2) the methods they use to deal with the patients’ requests to hasten death; 3) the obstacles that prevent nurses from fulfilling the patients’ requests to hasten death; and 4) their suggestions for improvement.Conclusion: Nurses have a deep understanding of the real thoughts of patients who make a death request, and they hope to provide the corresponding psychological support and physical care. However, the lack of relevant knowledge, policy support, and cooperation of patients’ families are obstacles that prevent them from taking action. Therefore, increasing relevant training for nurses, encouraging multi-department cooperation, and developing standardized nursing processes may lay a foundation for oncology nurses to better undertake and guide such conversations.

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The Motives Behind the Choice of Dental Specialties Among Iranian Dental Students: A Qualitative Study

Educational Research in Medical Sciences ◽

10.5812/erms.115553 ◽

2021 ◽

Vol 10 (1) ◽

Author(s):

Farshad Rahimi ◽

Yasaman Ghaderi Dehkordi ◽

Amin Golshah ◽

Leeba Rezaei

Keyword(s):

Environmental Factors ◽

Qualitative Study ◽

Deep Understanding ◽

Personal Characteristics ◽

Dental Students ◽

Specialty Choice ◽

Structured Interviews ◽

Financial Return ◽

Strategy Planning ◽

School Of Dentistry

Background: The motivational reasons for choosing dental specialties are highly variable among dental students. A deep understanding of these motives can greatly help in strategic planning in this respect. Objectives: Thus, this study aimed to explore the motivational reasons for choosing dental specialties among dental students. Methods: This qualitative study evaluated the viewpoints of 17 dental students at the School of Dentistry, Kermanshah University of Medical Sciences, Kermanshah, Iran who were selected via purposive sampling. Data were collected through semi-structured interviews in the second semester of the academic year 2018 - 2019 and analyzed using the content analysis method. Results: The motivational reasons for choosing dental specialties were categorized into five main categories, including conditions and nature of a specialty (such as acceptance conditions, education, and work), financial return (such as level of income and job market), personal characteristics (such as personal capabilities and characteristics affecting the specialty choice), the external environment (such as the effect of environmental factors on the specialty choice), and academic experiences (such as personality characteristics of mentors affecting the specialty choice). Conclusions: According to the results, the motivational reasons for choosing a dental specialty are highly variable among dental students and influenced by various individual and environmental factors. These motives should be addressed in strategy planning for dental specialty programs.

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Explaining Caregivers' Perceptions of Palliative Care Unmet Needs in Iranian Alzheimer's Patients: A Qualitative Study

Frontiers in Psychology ◽

10.3389/fpsyg.2021.707913 ◽

2021 ◽

Vol 12 ◽

Author(s):

Hadis Ashrafizadeh ◽

Mahin Gheibizadeh ◽

Maryam Rassouli ◽

Fatemeh Hajibabaee ◽

Shahnaz Rostami

Keyword(s):

Qualitative Study ◽

Unmet Needs ◽

Informal Caregivers ◽

Deep Understanding ◽

Legal Aspects ◽

Treatment Team ◽

Structured Interviews ◽

Complex Needs ◽

The Mean

Introduction: The needs of Alzheimer's patients are very complex and diverse and many of them are considered unmet needs. Understanding and responding to the unmet and complex needs of Alzheimer's patients can affect the quality of care. Therefore, the present study aimed to explain the perception of formal and informal caregivers of the unmet needs of Iranian Alzheimer's patients.Methods: The present qualitative study employed a Directed Content Analysis approach and was conducted in Iran in 2020. This research was done through in-depth and semi-structured interviews with 19 qualified caregivers enrolled (11 informal caregivers and 8 formal caregivers) with the mean age of 46.05 ± 10.98 years in a purposive sampling method. Interviews continued until data saturation. Data analysis was performed simultaneously with data collection. After recording and transcribing, the data were analyzed using the Elo and Kyngas method based on the National Consensus Project framework (NCP). Data management was done with MAXQDA software. In order to achieve the accuracy and validity of the study, the criteria presented by Lincoln and Guba Credibility, Dependability, Confirmability, and Transformability were considered and used.Results: The mean age of participants was 46.05 ± 10.98. Participants in this study acknowledged that Alzheimer's patients need comprehensive needs management with a holistic approach to increase quality of life. This theme based on the NCP framework consists of seven main categories including “Structure and processes of care,” “Physical aspects of care,” “Psychological and psychiatric aspects of care,” “Social aspects of care,” “Cultural aspects of care,” “Care of the patient nearing the end of life,” and “Ethical and legal aspects of care” with 16 subcategories.Conclusion: The findings of this study provide a deep understanding of the unmet needs of Alzheimer's patients in Iran. Identifying the unmet needs of patients can pave the way for the treatment team to provide effective solutions to meet the needs and empower caregivers to provide comprehensive care for patients.

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Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study

Pakistan Journal of Medical Sciences ◽

10.12669/pjms.38.3.5215 ◽

2022 ◽

Vol 38 (3) ◽

Author(s):

Omaema Al-Baghdadi ◽

Christian Barnick ◽

Garima Srivastava ◽

Hassan Elbiss

Keyword(s):

Qualitative Study ◽

Large Scale ◽

Vaginal Surgery ◽

Vaginal Vault Prolapse ◽

Qualitative Description ◽

University Hospital ◽

Vaginal Vault ◽

Structured Interviews ◽

Vault Prolapse ◽

Creative Commons

Objective: This study examined gynaecologists’ experience and views on the management of vaginal vault prolapse (VVP) using laproscopic sarcocolpopexy (LSCP) versus open sarcocolpopexy (OSCP). Methods: In a qualitative study conducted at the University of Surrey and Homerton University Hospital, UK, from 2016 to 2017, semi-structured interviews were conducted with 15 consultants experienced in minimal access surgery or urogynecology. Interviews were recorded and transcripts were analyzed using the qualitative description (QD) approach. Results: Eight broad themes emerged: VVP management, LSCP for management of VVP, OSCP and vaginal surgery with or without mesh use in VVP management, laparoscopic training and support as well as surgeons’ attitude towards LSCP. All participants acknowledged the importance of LSCP in the management of post-hysterectomy VVP as benefits outweighed risks in their view. OSCP was considered suitable in very specific circumstances. Vaginal surgery could be an excellent alternative to OSCP bearing in mind long-term efficacy and sexual activity in young women. Most participants agreed with national recommendations to avoid use of mesh in vaginal surgery for VVP and expressed the view that it should be done in specialised centres by trained surgeons who do such operations. Conclusions: This study showed that the acceptability of LSCP was dependent on participants’ experience and consideration of the balance between patient’s goals and potential risks. It provides useful guidance for future large-scale projects. doi: https://doi.org/10.12669/pjms.38.3.5215 How to cite this:Al-Baghdadi O, Barnick C, Srivastava G, Elbiss HM. Gynaecologists’ views on the management of Vaginal Vault Prolapse: A qualitative study. Pak J Med Sci. 2022;38(3):---------. doi: https://doi.org/10.12669/pjms.38.3.5215 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Identifying Concern and Stress of Parents, Students and Teachers With the Social Distance Planning Process and Reopening of Schools During Covid-19 Pandemic: a Qualitative Study

10.21203/rs.3.rs-149322/v1 ◽

2021 ◽

Author(s):

Saeed Bashirian ◽

Majid Barati ◽

Maryam Afshari ◽

Seyede Somaye Mirmoini ◽

Javad Zavar Chahar Tagh

Keyword(s):

Data Analysis ◽

Qualitative Study ◽

Social Distance ◽

Planning Process ◽

Deep Understanding ◽

Structured Interviews ◽

Enabling Factors ◽

Social Distancing ◽

Reinforcing Factors ◽

The Social

Abstract Background: With the closure of schools as a result of the social distancing plan, the negative emotions that individuals experience became complicated. Therefore, the present study provides deep understanding of the concerns and stresses of parents, students and teachers about the process of social distance planning and reopening of schools during COVID-19 pandemic.Methods: This qualitative study was conducted in 2020. The data for this study were collected through semi-structured interviews with teachers, students and their parents in Tuyserkan. Sampling was performed by purposeful sampling method with the maximum variation. Data analysis was performed simultaneously with data collected by content analysis method. Results: In general, the majority of participants were stressed and concerned about the social distancing plan and the reopening of schools during Covid-19 pandemic. During data analysis, 74 primary codes, 13 sub-themes and 6 themes were obtained. The themes included preparing factors (knowledge), reinforcing factors, preparing factors (attitude), enabling factors, epidemiological aspects of the subject and quality of life. Conclusions: Identifying and explaining the concerns and stress of parents, students and teachers about the process of social distance planning and reopening of schools during COVID-19 pandemic will help policy makers and administrators for planning and interventions related to this.

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Experiences of surgical nurses in providing end-of-life care in an acute care setting: a qualitative study

British Journal of Nursing ◽

10.12968/bjon.2021.30.18.1084 ◽

2021 ◽

Vol 30 (18) ◽

pp. 1084-1089

Author(s):

Teju Limbu ◽

Paul M Taylor

Keyword(s):

Qualitative Study ◽

End Of Life ◽

Critical Care Nurses ◽

Structured Interviews ◽

Dying Patients ◽

Surgical Nurses ◽

Training And Support ◽

Surgical Setting ◽

Eol Care ◽

Physical Care

Background: The number of deaths occurring in hospitals is rising, and many occur in settings other than specialist palliative care, oncology or critical care. Nurses working outside these specialist environments report end-of-life (EoL) care as a source of stress. This research aimed to explore these experiences. Aims and methods: This qualitative study, using semi-structured interviews as a research technique, aimed to investigate the experiences of surgical nurses caring for dying patients. Results: Five themes emerged: understanding of and preference for EoL care; perceived barriers while providing EoL care; robust support from the team as a facilitator while providing EoL care; symptom management; future training and support. Conclusion: Participants considered providing EoL care as part of their professional role and reported that they were able to provide appropriate physical care. Participants identified challenges in providing emotional and psychological support to dying patients and their families in an acute surgical setting.

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Topik-Topik Komunikasi Dakwah Dalam Mesej Akidah Kepada Masyarakat Orang Asli di Selangor

Sains Insani ◽

10.33102/sainsinsani.vol3no2.56 ◽

2018 ◽

Vol 3 (2) ◽

pp. 15-21

Author(s):

Zulkefli Aini ◽

Abdul Ghafar Don ◽

Ahmad Irdha Mokhtar ◽

Nur Uswah Ahmad Fauzi

Keyword(s):

Qualitative Study ◽

Study Design ◽

Verbal Feedback ◽

Structured Interviews ◽

Orang Asli ◽

Case Study Design ◽

Beliefs And Practice ◽

Islamic Faith ◽

Selection Of

One of the factors that can affect a person's behavior is a communication message. In the context of the da`wah, preachers who involved actively in da`wah communication with the Orang Asli should be able to ensure that the message conveyed can be understood by the target group. In addition, the selection of the correct messages of da`wah based on the foremost priority simplify the process of sharing information between the preachers and the Orang Asli. Accordingly, this article aims to identify specific topics of Islamic faith (akidah) submitted by the Orang Asli in the process of da`wah communication and to identify verbal feedback given by the preachers to the Orang Asli of the topics. This qualitative study using case study design and data was collected through semi-structured interviews. Interviews involving nine preachers were active in da`wah activity to the Orang Asli community in Selangor. Data were analyzed thematically according to the specified objectives. The study found that the topics frequently raised by the Orang Asli is concerned about belief in Allah, belief in Malaikat, and belief in Qada' and Qadar. The topics may be found within the framework of worldview in their beliefs and practice of ancient traditions. Therefore, the preachers gave verbal feedback on these topics is based on a clear and precise sample corresponding to the level of their thinking. The emphasis on these topics is very important to strengthen and purify the faith of the community.Keywords: Communication; Message; Preacher; Indigenous community Abstrak: Elemen mesej dalam komunikasi merupakan salah satu faktor yang dapat memberi kesan terhadap perubahan tingkah laku seseorang. Dalam konteks dakwah, pendakwah yang terlibat dalam proses komunikasi dakwah dengan Orang Asli seharusnya berkebolehan memastikan kandungan mesej yang disampaikan boleh difahami oleh sasaran dakwahnya. Di samping itu, pemilihan mesej dakwah yang betul mengikut keutamaan memudahkan proses perkongsian maklumat antara pendakwah dengan Orang Asli. Sehubungan dengan itu, artikel ini bertujuan untuk mengenalpasti topik-topik tertentu dalam mesej akidah yang dikemukakan oleh masyarakat Orang Asli kepada pendakwah dan mengenalpasti maklum balas lisan yang diberikan oleh pendakwah kepada Orang Asli terhadap topik tersebut. Kajian kualitatif ini menggunakan reka bentuk kajian kes dengan pengumpulan data melalui temu bual separa struktur. Temu bual melibatkan sembilan orang pendakwah yang aktif dalam aktiviti dakwah masyarakat Orang Asli di Selangor. Data kajian dianalisis secara tematik mengikut objektif yang ditentukan. Kajian ini mendapati bahawa topik-topik yang sering dikemukan oleh Orang Asli kepada pendakwah dalam penyampaian mesej akidah ialah berkenaan tentang keimanan kepada Allah SWT, keimanan kepada malaikat, dan keimanan kepada qada’ dan qadar. Topik-topik berkenaan didapati berada dalam kerangka worldview kepercayaan dan amalan tradisi mereka. Sehubungan dengan itu, pendakwah memberikan maklum balas lisan terhadap topik-topik tersebut adalah berdasarkan keterangan yang jelas dan contoh yang tepat bersesuaian dengan tahap pemikiran mereka. Penekanan terhadap topik-topik tersebut merupakan perkara yang penting dalam rangka mengukuhkan dan memurnikan akidah masyarakat Orang Asli.Kata kunci: Komunikasi; Mesej; Pendakwah; Komuniti Orang Asli

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Diversity in teachers’ approaches to movement integration: A qualitative study of lower secondary school teachers’ perceptions of a state school reform involving daily physical activity

European Physical Education Review ◽

10.1177/1356336x19865567 ◽

2019 ◽

Vol 26 (2) ◽

pp. 429-447

Author(s):

Henrik Taarsted Jørgensen ◽

Sine Agergaard ◽

Michalis Stylianou ◽

Jens Troelsen

Keyword(s):

Physical Activity ◽

Qualitative Study ◽

School Reform ◽

Structured Interviews ◽

Policy And Practice ◽

Teachers Perceptions ◽

Physical Activity Policy ◽

Danish School ◽

Group Interviews ◽

Movement Integration

In the context of implementing a physical activity policy as part of a national school reform in Denmark, the purpose of this study was to explore lower secondary teachers’ interpretations and perceptions of the physical activity policy with a focus on movement integration. In total, 14 teachers from four different schools were selected to take part in this qualitative study, which involved semi-structured interviews, focus group interviews, go-along observations and informal interviews. A thematic analysis framework was employed to identify and describe patterns of meaning within data. The findings showed substantial diversity among teachers’ interpretations and perceptions of movement integration, and consequently a lack of definitional clarity regarding movement integration and a possible misalignment between policy and practice. Teachers’ perceptions and interpretations of movement integration were influenced by other and more prioritised policies and discourses regarding academic achievement, as well as by intrapersonal, interpersonal and institutional factors. The findings also suggested a lack of support and collaboration within the school and provided insights into the strengths and weaknesses associated with the autonomy afforded in the Danish school reform.

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Transition from Childcare Institutions to Adulthood for Youth: Through the Lens of Identity and Gender

Institutionalised Children Explorations and Beyond ◽

10.1177/2349300320980553 ◽

2020 ◽

pp. 234930032098055

Author(s):

Garima Sharma

Keyword(s):

Young Adults ◽

Qualitative Study ◽

Social Factor ◽

Smooth Transition ◽

Structured Interviews ◽

Male And Female ◽

Female Youth ◽

Youth Identity ◽

The Social ◽

And Gender

This article explores the transition of youth from childcare institutions as young adults through the lens of youth identity and gender. The research revolves around rethinking the delicate boundaries of adolescence and adulthood for the ‘institutionalised’ youth that is already on the edge of the society. This research tries to understand and decode the experiences of youth, who have lived in the childcare institutions. The childcare institutions reinforce the gender roles through its practices and structure, enabling gaps and challenges for both male and female youth outside the childcare institutions. There is an absence of a strong mechanism, enabling the smooth transition of youth from childcare institutions to adulthood. This results in unprepared young adults for an unplanned transition, fostering several challenges on them as they exit the childcare system. This is a qualitative study. The research includes both male and female youth who have lived in childcare institutions situated in Delhi. The data was collected using semi-structured interviews with the youth. This study finds that youth leaving the childcare institutions are at higher risks of having negative adult outcomes in life. While there is an absolute absence of any body or mechanism to help the youth transit smoothly, childcare institutions reinforce the inferiority and exclusion on a child during the stay period, creating a foundation for youth to perceive the social factor outside the institutions.

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NICU and postpartum nurse perspectives on involving fathers in newborn care: a qualitative study

BMC Nursing ◽

10.1186/s12912-021-00553-y ◽

2021 ◽

Vol 20 (1) ◽

Author(s):

Katharine W. Buek ◽

Dagoberto Cortez ◽

Dorothy J. Mandell

Keyword(s):

Qualitative Study ◽

Father Involvement ◽

Perinatal Care ◽

Healthcare Providers ◽

Newborn Care ◽

Small Scale ◽

Structured Interviews ◽

Provider Attitudes ◽

Attitudes And Practices ◽

Sense Of Efficacy

Abstract Background Perinatal care nurses are well positioned to provide the education and support new fathers need to navigate the transition to fatherhood and to encourage positive father involvement from the earliest hours of a child’s life. To effectively serve fathers in perinatal settings, it is important to understand the attitudes, beliefs, and behaviors of healthcare providers that may encourage and engage them, or alternatively alienate and discourage them. Methods This qualitative study involved structured interviews with ten NICU and postpartum nurses from hospitals in two large Texas cities. The interview protocol was designed to elicit descriptive information about nurses’ attitudes and beliefs, sense of efficacy and intention for working with fathers, as well as their father-directed behaviors. Nurses were recruited for the study using a purposive sampling approach. Interviews were conducted by telephone and lasted approximately 25 to 35 min. Data were analyzed using a qualitative descriptive approach. Results Overall, study participants held very positive subjective attitudes toward fathers and father involvement. Nevertheless, many of the nurses signaled normative beliefs based on race/ethnicity, gender, and culture that may moderate their intention to engage with fathers. Participants also indicated that their education as well as the culture of perinatal healthcare are focused almost entirely on the mother-baby dyad. In line with this focus on mothers, participants comments reflected a normative belief that fathers are secondary caregivers to their newborns, there to help when the mother is unavailable. Conclusions Nurse attitudes and practices that place mothers in the role of primary caregiver may be interpreted by fathers as excluding or disregarding them. Further research is needed to validate the results of this small-scale study, and to assess whether and how provider attitudes impact their practices in educating and engaging fathers in newborn care.

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“I’ve Heard of It, Yes, but I Can’t Remember What Exactly It Was”—A Qualitative Study on Awareness, Knowledge, and Use of the UV Index

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18041615 ◽

2021 ◽

Vol 18 (4) ◽

pp. 1615

Author(s):

Katharina Diehl ◽

Tatiana Görig ◽

Charlotte Jansen ◽

Maike Carola Hruby ◽

Annette B. Pfahlberg ◽

...

Keyword(s):

Qualitative Study ◽

Qualitative Content Analysis ◽

Sun Protection ◽

Structured Interviews ◽

Protection Factor ◽

Protection Measures ◽

Uv Index ◽

Correct Definition ◽

Definition Of

Pharmacists and pharmaceutical technicians play an important role in counselling customers regarding sunscreen use and sun protection measures. A potentially helpful tool that can be used during counselling is the ultraviolet index (UVI), which informs individuals when and what sun protection measures are needed at a specific place and time. Our aim in this qualitative study was to explore awareness, knowledge, and use of the UVI during counselling in pharmacies. We used semi-structured interviews with pharmacists and pharmaceutical technicians (n = 20) to answer our research questions. Interviews were audiotaped, transcribed verbatim, and analyzed using qualitative content analysis. During the interviews pharmacists and pharmaceutical technicians revealed a lot of uncertainty and lack of knowledge regarding the UVI. Eight professionals were able to give a correct definition of UVI. Amongst others, the UVI was confused with sun protection factor. Overall, the UVI was hardly used during the counselling of customers. The UVI was developed to provide guidance when which type of sun protection is required to avoid detrimental effects of ultraviolet radiation. For effective implementation, both the general population and health professionals (e.g., pharmacists) have to increase their knowledge about the UVI. This would strengthen its use during professional counselling in pharmacies and may help to reduce the incidence of skin cancer over the long term.

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